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Registration Form
Please fill out this form to register for this service
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Phone
*
Mobile
Email
Dustbin Day (so we can avoid collecting the same day)
Monday
Tuesday
Wednesday
Thursday
Friday
EDD or date you wish to start using the service
*
Baby's weight (if known)
Did you know...
One baby's disposable nappy waste will fill 130 bin bags during his or her lifetime
©nappybliss 2010
